Work

Perforated appendicitis masquerading as a left-sided scrotal abscess: A case report and literature review

Year: 2024

Type: article

Abstract: This case report and literature review examine a rare presentation of perforated appendicitis manifesting as a left-sided scrotal abscess in a 3.5-year-old boy. The patient presented with left scrotal swelling and pain, along with a history of abdominal pain and fever. Ultrasound evaluations identified an enlarged, hyper vascular left epididymis and a pelvic abscess, indicative of perforated appendicitis. Laboratory results showed significant inflammatory markers. An urgent appendectomy and surgical exploration of the left hemiscrotum confirmed a gangrenous, perforated appendix in addition to a left-sided scrotal abscess and a patent process vaginalis (PPV). This case highlights the diagnostic complexities in differentiating between genitourinary and gastrointestinal pathologies in pediatric patients. In conclusion and after review of similar cases the role of a patent process vaginalis in infection spread should be underscored and the importance of comprehensive imaging and prompt surgical intervention to mitigate complications must be emphasized.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2024.09.119

Authors: Elham Zarei, Amir S. Mounesi Sohi, Amir Ghadipasha, Fariba Jahangiri, Ehsan Ranjbar

Institutions: Iran University of Medical Sciences, Tehran University of Medical Sciences

Language: English

Topic: Appendicitis Diagnosis and Management

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $550